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Raffle Results: Charitable Game Regulatory Reporting

Raffle ID

Raffle Name

Draw Complete

Gross Gaming Revenue (GGR)

USD

Platform & Transaction Fees

Adjusted Gross Gaming Revenue (AGGR)GGR (-) minus Platform Fees=AGGR

Revenue to Nonprofit

Total Awarded Prize

Required Federal Withholdings

Net Prize Payout

Winner

Winner Email Address

Mailing Address

City

State

Zip

IRS Federal Withholdings Form

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Signature of Authorized Representative

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